Which is the appropriate way to hold the ear when inspecting the tympanic membrane of a 2-year-old client?
A. Pull the pinna up and back.
B. Pull the pinna up and forward.
C. Pull the pinna down and back.
D. Pull the pinna down and forward.
Answer: C
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Nurse R works on the geriatric medicine unit of the university hospital and provides care for numerous older adult clients nearing the end of life, many of whom have Do Not Resuscitate (DNR) orders
Which of the following situations is incompatible with the legal requirements for a DNR order? A) A client who is mentally competent has declared his wish to have a DNR order despite the availability of treatment options for his condition. B) A client has expressed her desire to have a DNR order but her daughter is adamantly opposed to it. C) A client clearly told the nurse her desire to have a DNR order, which the nurse documented and noted at the bedside. D) A client has been in a coma and the family has decided to put in place a DNR order.
The nurse is employed at a diabetic clinic and is assisting a client with maintenance of blood glucose status. When assessing nurse–client responsibilities, which responsibility does the nurse most expect of the client?
A) Be courteous to others. B) Comply with the set regimen. C) Be nonjudgmental. D) Possess knowledge.
The physician has explained to the patient that he has developed diabetic neuropathy in his right foot. Later that day the patient calls the nurse and asks what causes diabetic neuropathy. What would be the nurse's best response?
A) "Research has shown that diabetic neuropathy is caused by hyperglycemia that has gone on for years." B) "The cause is not known for sure but it is thought to have something to do with ketoacidosis." C) "The cause is not known for sure but it is thought to involve elevated blood glucose levels over a period of years." D) "Research has shown that diabetic neuropathy is caused by a combination of elevated glucose levels and elevated ketone levels."
The nurse caring for a pediatric client recovering from surgery to repair a congenital heart defect would include which of the following interventions to support the client's fluid status?
1. Limit fluids 2. Maintain intravenous therapy until day before discharge 3. Encourage fluids 4. Monitor output